Association between complementary and alternative medicine use, preventive care practices, and use of conventional medical services among adults with diabetes
Association between complementary and alternative medicine use, preventive care practices, and use of conventional medical services among adults with diabetes
复制标题
DOI：
10.2337/diacare.29.01.06.dc05-1448
复制
发表时间：
2006-01-01
期刊：
影响因子：
16.2
通讯作者：
Egede, LE
中科院分区：
文献类型：
--
作者：
Garrow, D;Egede, LE
目的-为了评估补充和替代医学（CAM）的使用，预防保健的做法，并使用传统的医疗服务，在成年人与diabetes.RESEARCH设计和方法之间的关联-我们分析了2,474例成年糖尿病患者的数据。我们创建了一个基于以下任何一种使用的整体CAM使用类别：饮食，草药，脊椎按摩护理，瑜伽，放松，针灸，阿育吠陀，生物反馈，螯合，能量治疗，灵气疗法，催眠，按摩，自然疗法和顺势疗法。我们使用多元logistic回归来评估CAM使用对预防保健实践（接受流感和肺炎疫苗）和使用常规医疗服务（初级保健和急诊室就诊次数）的影响。STATA用于统计分析，以解释复杂的调查design.RESULTS -48%的成年糖尿病患者使用某种形式的CAM。CAM使用与肺炎疫苗接种独立相关（比值比1.56 [95% CI 1.26-1.94]），但与流感疫苗接种无显著相关（1.17 [0.921.48]）。CAM的使用与急诊室就诊独立相关（1.34 [1.06-1.70]），有6次或以上的初级保健就诊（1.44 [1.14-1.83]），并有8次或更多的初级保健访问（1.66 [1.22-2.25]）.结论-与以前的研究结果相反，CAM的使用似乎与接受预防保健服务的可能性增加，急诊和初级保健就诊增加有关。CAM的使用可能不是糖尿病成人使用常规医疗服务的障碍。
OBJECTIVE - To assess the association between complementary and alternative medicine (CAM) use, preventive care practices, and use of conventional medical services among adults with diabetes.RESEARCH DESIGN AND METHODS - We analyzed data on 2,474 adults with diabetes. We created an overall CAM-use category based on use of any of the following: diets, herbs, chiropractic care, yoga, relaxation, acupuncture, ayuverda, biofeedback, chelation, energy healing, Reiki therapy, hypnosis, massage, naturopathy, and homeopathy. We used multiple logistic regression to assess the effect of CAM use on preventive care practices (receipt of influenza and pneumonia vaccines) and use of conventional medical services (number of primary care and emergency department visits). STATA was used for statistical analysis to account for the complex survey design.RESULTS - A total of 48% of adults with diabetes used some form of CAM. CAM use was independently associated with receipt of pneumonia vaccination (odds ratio 1.56 [95% CI 1.26-1.94]) but not significantly associated with receipt of influenza vaccination (1.17 [0.921.48]). CAM use was independently associated with visiting the emergency department (1.34 [1.06-1.70]), having six or more primary care visits (1.44 [1.14-1.83]), and having eight or more primary care visits (1.66 [1.22-2.25]).CONCLUSIONS - in contrast to the findings of previous studies, CAM use appears to be associated with increased likelihood of receipt of preventive care services and increased emergency department and primary care visits. CAM use may not be a barrier to use of conventional medical services in adults with diabetes.